Department of Pharmacology, Biological Science Sector, Federal University of Paraná, Curitiba, Paraná, Brazil.
Institute of Neurosciences and Behavior (INeC) and Laboratory of Neuropsychopharmacology of Faculty of Philosophy, Sciences and Letters of University of São Paulo, Ribeirão Preto, São Paulo, Brazil.
Brain Res. 2019 Jul 15;1715:156-164. doi: 10.1016/j.brainres.2019.03.014. Epub 2019 Mar 18.
Most diabetic patients describe moderate to severe pain symptoms whose pharmacological treatment is palliative and poorly effective. Cannabidiol (CBD) has shown promising results in painful conditions. Then, we aimed to investigate the potential antinociceptive effect of CBD over the mechanical allodynia in streptozotocin-induced diabetic (DBT) rats, as well as its involved mechanisms. Wistar adult male diabetic rats were treated acutely or sub-chronically (for 14 days) with CBD (0.1, 0.3 or 3 mg/kg, intraperitoneal; i.p.) and had their mechanical threshold assessed using the electronic Von Frey. Acute treatment with CBD (at doses of 0.3 and 3 mg/kg) exerted a significant anti-allodynic effect, which is not associated with locomotor impairment. The antinociceptive effect of CBD (3 mg/kg) was not altered by the pre-treatment with CB or CB receptor antagonists (AM251 and AM630; respectively; both at a dose of 1 mg/kg, i.p.) nor by glycine receptor antagonist (strychnine hydrochloride, 10 μg/rat, intrathecal, i.t.). However, this effect was completely prevented by the pre-treatment with the selective 5-HT receptor antagonist WAY 100135 (3 μg/rat, i.t.). Sub-chronic treatment with CBD (0.3 or 3 mg/kg) induced a sustained attenuation of the mechanical allodynia in DBT rats. DBT rats presented significantly lower spinal cord levels of serotonin, which was prevented by the daily treatment with CBD (0.3 mg/kg). Taken together, our data suggest that CBD may be effective in the treatment of painful diabetic neuropathy and this effect seems to be potentially mediated by the serotonergic system activation through 5-HT receptors.
大多数糖尿病患者描述中度至重度疼痛症状,其药物治疗是姑息性的,效果不佳。大麻二酚 (CBD) 在疼痛状况下显示出有希望的结果。然后,我们旨在研究 CBD 对链脲佐菌素诱导的糖尿病 (DBT) 大鼠机械性痛觉过敏的潜在镇痛作用及其涉及的机制。Wistar 成年雄性糖尿病大鼠急性或亚慢性(14 天)用 CBD(腹腔内 0.1、0.3 或 3mg/kg,i.p.)治疗,并使用电子 Von Frey 评估机械阈值。CBD(0.3 和 3mg/kg)的急性治疗产生了显著的抗痛觉过敏作用,这与运动障碍无关。CBD(3mg/kg)的镇痛作用不受 CB 或 CB 受体拮抗剂(分别为 AM251 和 AM630;均为 1mg/kg,i.p.)的预处理或甘氨酸受体拮抗剂(士的宁盐酸盐,10μg/rat,鞘内,i.t.)改变。然而,这种作用完全被选择性 5-HT 受体拮抗剂 WAY 100135(3μg/rat,i.t.)的预处理所阻止。亚慢性治疗(0.3 或 3mg/kg)可持续减轻 DBT 大鼠的机械性痛觉过敏。DBT 大鼠脊髓 5-羟色胺水平明显降低,每日用 CBD(0.3mg/kg)治疗可预防这种情况。总之,我们的数据表明 CBD 可能有效治疗痛性糖尿病神经病变,这种作用似乎是通过 5-HT 受体激活的血清素能系统介导的。
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